Provider Demographics
NPI:1255574646
Name:GENTLE ANGELS HEALTH CARE, INC.
Entity type:Organization
Organization Name:GENTLE ANGELS HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-235-4274
Mailing Address - Street 1:13170 SW 128TH ST
Mailing Address - Street 2:UNIT 206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5845
Mailing Address - Country:US
Mailing Address - Phone:305-235-4274
Mailing Address - Fax:305-235-4275
Practice Address - Street 1:13170 SW 128TH ST
Practice Address - Street 2:UNIT 206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5845
Practice Address - Country:US
Practice Address - Phone:305-235-4274
Practice Address - Fax:305-235-4275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health